| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.43 | $131.90 | $216.00 | |
Aetna
| Professional | $90.79 | $121.78 | $143.22 | |
Cigna
| Professional | $107.43 | $107.43 | $107.43 | |
Lucent Health
| Facility | $201.04 | $601.19 | $601.19 | |
Lucent Health
| Professional | $768.84 | $768.84 | $973.43 | |
United
| Professional | $118.08 | $136.16 | $259.47 |